What are the responsibilities and job description for the Insurance Billing Clerk position at Opelousas General Health System?
Full time position available.
Performs all duties relating to the billing and follow up of all third party (Medicare, Medicaid, Commercial Insurance, Worker Comp., Tricare, & etc.) hospital claims.
Essential Duties & Responsibilities:
- Verifies accuracy of information gained by admissions.
- Processes patient bills daily.
- Processes electronic claims to insurance carriers via electronic billing system in a timely manner.
- Processes and submits paper claims to appropriate payors in a timely manner.
- Contacts third party payors on status of claims filed.
- Documents findings of status results and appropriately adjusts patient accounts as per findings including demanding guarantor follow up.
- Reviews and processes mail within appropriate time frame. (No more than one-week backlog).
- Assists patients and visitors with questions concerning accounts. Documents all conversations using the notes function.
- Reviews and takes charge of failed claims report.
- Maintains patient account files in an orderly fashion.
- Receives and documents phone messages for co-workers accurately and in a professional manner.
- Works refunds on a timely basis.
Education: High School Diploma/GED required.
